Active NPI
West Atlanta OB-GYN Inc
- Gynecology Physician
- Smyrna, GA
National Provider Identifier
1124337506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 038920
- Legal business name
- WEST ATLANTA OB-GYN INC
- Practice address
- 3610 Highlands Pkwy SE
Smyrna, GA 30082-5184 - Phone
- (770) 444-9981
- Fax
- (770) 444-9970
- NPI assigned
- Oct 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kalpana Raghavan, MD
- Title
- MD/Owner
- Phone
- (770) 444-9981
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 038920 | GA | Primary |
Addresses
Primary practice location
3610 Highlands Pkwy SE
Smyrna, GA 30082-5184
Mailing address
3610 Highlands Pkwy SE
Smyrna, GA 30082-5184
Phone (770) 444-9981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2027925 | West Atlanta OB-GYN, Inc | Certificate of waiver | Aug 3, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Smyrna, GA
- NPI 1073546487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285891200000",
"number": "1124337506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 HIGHLANDS PKWY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825184",
"telephone_number": "770-444-9981",
"fax_number": "770-444-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 HIGHLANDS PKWY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825184",
"telephone_number": "770-444-9981",
"fax_number": "770-444-9970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST ATLANTA OB-GYN INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-01",
"last_updated": "2010-10-01",
"status": "A",
"authorized_official_last_name": "RAGHAVAN",
"authorized_official_first_name": "KALPANA",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "770-444-9981",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "038920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.